Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Mae Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497155220

Carolyn Mae Clark, MD is an Emergency Medicine in Overland Park, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2014, 12 years ago. Practices with Emergency Medicine Services of Ks PA, a 35-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
12
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5721 W 119th St
Overland Park, KS 66209-3753
Phone: (913) 498-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 04-42111 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497155220
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 29, 2014
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2014 (12 years in practice)
Group practice Emergency Medicine Services Of Ks Pa — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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